NPI 1003651167

Sayedul Islam

Practitioner Surgical Assistant West Bloomfield, MI

Practice location

Address: 6777 W Maple Rd, West Bloomfield, MI 48322-3013
Phone: (800) 653-6568
Mailing address: 8235 Stanley Dr, Warren, MI 48093-2763

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 212987 (MI)

Other Specialist/Technologist, Other providers in Michigan →

Registry record

NPI: 1003651167
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2024
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.